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影响血液透析患者照顾者焦虑和抑郁的因素。

Factors Affecting Anxiety and Depression in Caregivers of Hemodialysis Patients.

机构信息

Department of Nursing, University of West Attica, Athens, Greece.

出版信息

Adv Exp Med Biol. 2021;1337:47-58. doi: 10.1007/978-3-030-78771-4_6.

DOI:10.1007/978-3-030-78771-4_6
PMID:34972890
Abstract

Anxiety and depression have high levels in caregivers of patients on hemodialysis and are strongly associated with demographic factors. The aim of this study was to evaluate the factors affecting anxiety and depression in caregivers of hemodialysis patients. Four hundred and fourteen (414) caregivers (98 males and 316 females) participated in this study. Depression and anxiety were assessed by the Hospital Anxiety and Depression Scale (HADS), the State-Trait Anxiety Inventory (STAI), and the Beck Depression Inventory (BDI). Multinomial logistic regression was performed to estimate the factors being independently associated with anxiety and depression levels. Multiple linear regression was performed to estimate the factors being independently associated with Beck Depression Inventory and State-Trait Anxiety Inventory. From a total of 414 participants, 125 (30.2%) had depression and 215 (52%) had anxiety. The median age of respondents was 54.34 (43.9-66.28) years, with half of the sample's age ranging from 43.9 to 66.28 (IQR). Depression and anxiety were significantly associated with parents or siblings, low level of education, increased caregivers' age, retirement, poor financial condition, having children, and comorbidities. In this study, a significant proportion of caregivers were found to have high levels of depression and anxiety. Thus, a formal screening can contribute to early diagnosis and treatment of depression and anxiety in caregivers of patients on hemodialysis.

摘要

焦虑和抑郁在血液透析患者的照顾者中发生率较高,与人口统计学因素密切相关。本研究旨在评估影响血液透析患者照顾者焦虑和抑郁的因素。共有 414 名(98 名男性和 316 名女性)照顾者参与了这项研究。采用医院焦虑抑郁量表(HADS)、状态特质焦虑量表(STAI)和贝克抑郁量表(BDI)评估抑郁和焦虑。采用多项逻辑回归估计与焦虑和抑郁水平独立相关的因素。采用多元线性回归估计与贝克抑郁量表和状态特质焦虑量表独立相关的因素。在总共 414 名参与者中,125 名(30.2%)患有抑郁,215 名(52%)患有焦虑。受访者的中位数年龄为 54.34 岁(43.9-66.28),样本的一半年龄在 43.9 到 66.28 岁之间(IQR)。抑郁和焦虑与父母或兄弟姐妹、低教育程度、照顾者年龄增加、退休、经济状况不佳、有子女和合并症显著相关。在这项研究中,发现相当一部分照顾者存在高度的抑郁和焦虑。因此,正式的筛查可以有助于早期诊断和治疗血液透析患者照顾者的抑郁和焦虑。

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本文引用的文献

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Difficulties experienced by children/adolescents with chronic kidney disease and by their families.患有慢性肾病的儿童/青少年及其家庭所经历的困难。
J Bras Nefrol. 2010 Mar;32(1):16-20.
Perceived stress, social support, and insomnia in hemodialysis patients and their family caregivers: an actor-partner interdependence mediation model analysis.
血液透析患者及其家庭照顾者的感知压力、社会支持与失眠:一种行为者-伙伴相互依赖中介模型分析
Front Psychol. 2023 Jun 29;14:1172350. doi: 10.3389/fpsyg.2023.1172350. eCollection 2023.
4
Relationships between care burden, resilience, and depressive symptoms among the main family caregivers of stroke patients: A cross-sectional study.脑卒中患者主要家庭照顾者的照顾负担、心理弹性与抑郁症状之间的关系:一项横断面研究。
Front Psychiatry. 2022 Sep 20;13:960830. doi: 10.3389/fpsyt.2022.960830. eCollection 2022.